Shaw, Michael C

Shaw, Michael C is an individual health care provider with primary practice located at 984 Medical Dr Ste 1 , Brigham City UT 84302-4712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shaw, Michael C can be contacted via phone (435) 723-5248.

Contact Information

Primary practice address
984 Medical Dr Ste 1 Brigham City UT 84302-4712
Phone: (435) 723-5248
Fax: (435) 723-5240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5181650-1205 Utah

Profile Details

NPI number 1235161936
LBN Legal business name Shaw, Michael C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Mar 23rd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235161936 NPPES
Utah MEDICAID 870282100012

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